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AIIMS (PG) 2007

Description: AIIMS(PG) Nov 2007
Number of Questions: 179
Created by:
Tags: AIIMS(PG) Nov 2007 MD / MS Entrance
Attempted 0/179 Correct 0 Score 0

Which of the following does not occur in ulnar nerve injury in the arm?

  1. Claw hand

  2. Atrophy of hypothenar eminence

  3. Loss of sensation of medial one third of hand

  4. Adduction of thumb


Correct Option: D

Gall bladder epithelium is

  1. simple squamous

  2. simple cuboidal with stereocilia

  3. simple columnar

  4. simple columnar with brush border


Correct Option: D

Left renal vein crosses the aorta

  1. anteriorly, above the superior mesenteric artery

  2. anteriorly, below the superior mesenteric artery

  3. posteriorly, at the level of superior mesenteric artery

  4. anteriorly, below the inferior mesenteric artery


Correct Option: B

Meiosis occurs at which of the following transformation?

  1. Primary spermatocyte to intermediate spermatocyte

  2. Primary spermatocyte to secondary spermatocyte

  3. Secondary spermatocyte to round spermatid

  4. Round spermatid to elongated spermatid


Correct Option: B

Violent inversion of the foot will lead to avulsion of tendon of which of the following muscle, attched to the tuberosity of the 5th metatarsal?

  1. Peroneus brevis

  2. Peroneus longus

  3. Peroneus tertius

  4. Extensor digitorum brevis


Correct Option: A

If the circumflex artery gives off the posterior interventricular artery, then what is arterial supply called?

  1. Right dominance

  2. Left dominance

  3. Balanced dominance

  4. None of these


Correct Option: B

From which one of the following, the ureter develops?

  1. Metanephros

  2. Mesonephros

  3. Mesonephric duct

  4. Paramesonephric duct


Correct Option: C

Which is the most superior structure at hilum of left lung?

  1. Pulmonary vein

  2. Pulmonary artery

  3. Bronchius

  4. Bronchial artery


Correct Option: B

According to Couinaud's classification, which is the 4th segment of the liver?

  1. Caudate lobe

  2. Quadrate lobe

  3. Left lobe

  4. Right lobe


Correct Option: B

Perforators are not present

  1. at the ankle

  2. at the distal calf

  3. at mid thigh

  4. below the inguinal ligament


Correct Option: D

A female comes with complaints of chest pain. On examination, she is found to have pericarditis with pericardial effusion. The pain is mediated by

  1. deep cardiac plexus

  2. superficial cardiac plexus

  3. phrenic nerve

  4. subcostal nerve


Correct Option: C

Bicarbonate is maximally absorbed from:

  1. PCT

  2. DCT

  3. Collecting duct

  4. Thick ascending loop of Henle


Correct Option: A

Nitric oxide

  1. is seen in the lung of smokers

  2. increases cAMP levels

  3. is used to treat hypertension

  4. none of these


Correct Option: B

Which muscle is not punctured while doing a thoracic procedure in the mid-axillary line?

  1. Innermost intercostals

  2. Transverses thoracis

  3. External intercostals

  4. Internal intercostals


Correct Option: B

Fast axonal transport is by all, except

  1. dynenin

  2. kinesin

  3. microfilaments

  4. neurofilaments


Correct Option: D

After fracture of the penis (injury to the tunica albugenia) with intact Buck's fascia, there occurs hematoma at

  1. the penis and scrotum

  2. at the perineum in a butterfly shape

  3. penis, scrotum, perineum and lower part of anterior abdominal wall

  4. shaft of the penis only


Correct Option: D

The 'c'-waves in JVP are due to

  1. atrial contraction

  2. bulging of the tricuspid valve into the right atrium

  3. ventricular systole, when the tricuspid valve is closed

  4. none of these


Correct Option: B

Sertoli cells in the testis have receptors for

  1. FSH

  2. LH

  3. Inhibin

  4. None of these


Correct Option: A

A 12 year old girl is present with acute rheumatic carditis with mitral insufficiency. She is likely to have

  1. increased peak expiratory flow

  2. increased total lung capacity

  3. increased residual volume

  4. decreased functional residual capacity


Correct Option: C

Ureteric peristalsis is due to

  1. sympathetic innervation

  2. parasympathetic innervation

  3. both sympathetic and parasympathetic innervation

  4. pacemaker activity of the smooth muscle cells in the renal pelvis


Correct Option: D

Metabolic alkalosis is seen in

  1. mineralocortoid excess

  2. increased excretion of base

  3. decreased secretion of H+ ion

  4. deficiency of mineralocorticoids


Correct Option: A

All of the following occur, when the blood flows through systemic capillaries, except

  1. increase in hematocrit

  2. Hb curve shifts to the left

  3. increased protein content

  4. decrease in Ph


Correct Option: B

When a person changes position from standing to lying down, which one of the following occurs?

  1. Heart rate increases and settles at a higher level.

  2. Venous return to the heart rises immediately.

  3. Cerebral blood flow becomes more than that in standing position and settles at a higher level.

  4. Decrease in blood flow to the lung apex.


Correct Option: B

Exercise causes

  1. increased blood flow to the muscles after half a minute

  2. increase in cerebral blood flow due to increase in systolic blood pressure

  3. body temperature to rise

  4. decreased muscle lymph flow


Correct Option: C

Which of the following is correctly matched?

  1. B cells - Somatostain

  2. D cells - Insulin

  3. G cells - Gastrin

  4. None of these


Correct Option: C

Peroxidase is used to detect

  1. glucose

  2. ammonia

  3. hemoglobin

  4. creatinine


Correct Option: C

For biochemical analysis, vitreous is sent in

  1. hydrochloric acid

  2. phenol/xylol

  3. formalin

  4. fluoride


Correct Option: D

PCR requires

  1. Li++

  2. Ca++

  3. Na++

  4. Mg++


Correct Option: D

The proteins, which are different in peptide sequence but have a similar structure in the process of evolution are said to be

  1. convergent

  2. divergent

  3. opportunistic

  4. incidental


Correct Option: A

In Lysosomal Storage Disorders, which of the following is true?

  1. The lysosomes are deficient in the enzyme hydrolase.

  2. There is a defect in the fusion of lysosomes and phagosomes.

  3. There is a defect in the lysosomal membrane.

  4. None of these


Correct Option: A

Blood spills on the floor are cleaned by

  1. sodium hypochlorite

  2. iodine

  3. absolute alcohol

  4. quarternary ammonium compounds


Correct Option: A

Hemoglobin estimation is not done by

  1. Drabkin's method

  2. Sahli's method

  3. Spectrometry

  4. Wintrobe's method


Correct Option: D

What is nephelometry?

  1. Lambert-Beer law

  2. Scattering of light by particulate solution

  3. Deffraction of light

  4. Decreased intensity of light


Correct Option: B

A 2-year old child is presented with scattered lesions in the skull. Biopsy has revealed Langerhans giant cells. Which of the following is most commonly associated?

  1. CD1a

  2. CD57

  3. CD3

  4. CD68


Correct Option: A

When stem cell transforms to form other tissues, the process is called as

  1. dedifferentiation

  2. redifferentiation

  3. transdifferentiation

  4. subdifferentiation


Correct Option: C

In mitral valve prolapse, the histological finding is

  1. hyalinization of the valve

  2. fibrinoid necrosis

  3. myxomatous degeneration of the valve

  4. none of these


Correct Option: C

Blood spills on the floor are cleaned by

  1. sodium hypochlorite

  2. iodine

  3. absolute alcohol

  4. quarternary ammonium compounds


Correct Option: A

In Lysosomal Storage Disorders, true is:

  1. The lysosomes are deficient in the enzyme hydrolase

  2. There is a defect in the fusion od lysosomes and phagosomes

  3. There is a defect in the lysosomal membrane

  4. None of these


Correct Option: A

PCR requires:

  1. Li++

  2. Ca++

  3. Na++

  4. Mg++


Correct Option: D

What is the mechanism of action of surfactant?

  1. It breaks the structure of water in the alveoli.

  2. It lubricates the flow of CO2 diffusion.

  3. It makes the capillary surface hydrophilic.

  4. None of these


Correct Option: A

Proteins which are different in peptide sequence but have a similar structure in the process of evolution are said to be:

  1. Convergent

  2. Divergent

  3. Opportunistic

  4. Incidental


Correct Option: A

Nephelometry is:

  1. Lambert-Beer law

  2. Scattering of light by particulate solution

  3. Defraction of light

  4. Decreased intensity of light


Correct Option: B

Hemoglobin estimation is not done by:

  1. Drabkin's method

  2. Sahli's method

  3. Spectrometry

  4. Wintrobe's method


Correct Option: D

When stem cell transforms to form other tissues, the process is called as:

  1. Dedifferentiation

  2. Redifferentiation

  3. Transdifferentiation

  4. Subdifferentiation


Correct Option: C

A 2-year old child presents with scattered lesions in the skull. Biopsy revealed Langerhans giant cells. Most commonly associated is:

  1. CD1a

  2. CD57

  3. CD3

  4. CD68


Correct Option: A

Acridine orange is used as a stain for

  1. DNA and RNA

  2. proteins

  3. carbohydrate

  4. lipids


Correct Option: A

In mitral valve prolapse, the histological finding is:

  1. Hyalinization of the valve

  2. Fibrinoid necrosis

  3. Myxomatous degeneration of the valve

  4. None of these


Correct Option: C

PAS does not stain

  1. fungal cell wall

  2. basement membrane of bacteria

  3. glycogen

  4. lipids


Correct Option: D

____ is not used to stain fats.

  1. Oil red O

  2. Congo red

  3. Sudan III

  4. Sudan black


Correct Option: B

The gauge size of FNAC needle is

  1. 26 - 28

  2. 22 - 26

  3. 18 - 22

  4. 16 - 18


Correct Option: B

Which of the following is not contained by cryoprecipitate?

  1. Factor VIII

  2. Factor IX

  3. Von Willebrand factor

  4. Fibrinogen


Correct Option: B

In Hyaline cartilage, which type of collagen is present?

  1. Type 1

  2. Type 2

  3. Type 3

  4. Type 4


Correct Option: B

Basement membrane consists of all, except

  1. laminin

  2. nidogenin

  3. entactin

  4. rhodopsin


Correct Option: D

Micronodular cirrhosis is seen in all, except

  1. chronic hepatitis B with…

  2. alcoholic hepatitis

  3. chronic cirrhosis secondary to biliary stasis

  4. hemochromatosis


Correct Option: A

Senile cardiac amyloidosis is due to defect in

  1. �2 - microglobulin

  2. transthyretin

  3. AANF

  4. pyrin


Correct Option: B

Shock lung is characterized histologically by

  1. diffuse alveolar oedema

  2. hemosiderosis

  3. interstitial pneumonia

  4. pulmonary oedema


Correct Option: A

Councilman bodies are seen in

  1. alcoholic cirrhosis

  2. Wilson's disease

  3. acute viral hepatitis

  4. none of these


Correct Option: C

Which of the following is not true about fibrates?

  1. (MOA)__ Apa_ lipoprotein lipase_decreased LDL_

  2. Absorbed better on empty stomach and decreased on food intake.

  3. Side effects include rash, myalgia, impotence and many others.

  4. They are the drug of choice in type III hyperlipidemia and hypertriglyceridemia


Correct Option: B

What is true about linkage analysis in familial gene disorders?

  1. Characteristic DNA polymorphism in a family is associated with disorders.

  2. Characteristic DNA polymorphism with a clinical phenotype.

  3. Useful to make pedigree chart to show affected and non-affected family members.

  4. Used to make a pedigree chart to show non-paternity.


Correct Option: A

OC pills are contraindicated in patients receiving

  1. rifampicin

  2. ethambutol

  3. streptomycin

  4. pyrazinamide


Correct Option: A

Thiazides cause all, except

  1. hyperglycemia

  2. increased calcium excretion

  3. increased uric acid excretion

  4. useful in congestive heart failure


Correct Option: B

Which of the following is true about benzodiazepines as compared to other hypnotics?

  1. They alter sleep pattern more than other hypnotics.

  2. More sedative than other hypnotics.

  3. Overdose is better tolerated as compared to other hypnotics.

  4. None of these


Correct Option: C

Which of the following is uterine relaxant with the least side effect?

  1. Ritodrine

  2. MgSO4

  3. Nifedipine

  4. Progesterone


Correct Option: B

Which of the following is true regarding furosemide?

  1. Furosemide is given by parenteral route only.

  2. Furosemide is used in pulmonary oedema.

  3. Furosemide acts at the PCT.

  4. Furosemide causes hypercalcemia.


Correct Option: B

Antiemetic with most affinity for 5Ht3 is

  1. ondansetron

  2. granisetron

  3. dolasetron

  4. pavalosetron


Correct Option: D

Bisphosphonates are not used in

  1. hypercalcemia

  2. osteoporosis

  3. cancer

  4. vitamin D intoxication


Correct Option: D

Which of the following is false regarding phenytoin?

  1. It induces microsomal enzymes.

  2. At very low doses, zero order kinetics occurs.

  3. Higher the dose, higher is the half life.

  4. Highly protein bound.


Correct Option: B

A patient is posted for elective surgery. Which of the following drugs should be stopped on the day of surgery?

  1. Atenolol

  2. Amlodepine

  3. Statins

  4. Metformin


Correct Option: D

Hypercalcemia is caused by all, except

  1. loop diuretics

  2. lithium

  3. vitamin D intoxication

  4. none of these


Correct Option: A

Which of the following is not used as a sedative but causes sedation as a side effect?

  1. Digitalis, anti-arrhythmics

  2. Antihistamines, antidepressants

  3. Macrolides, antibiotics

  4. None of these


Correct Option: B

Which one of the following does not act via GABA A?

  1. Thiopentone

  2. Midazolam

  3. Zolpidem /zopiclone

  4. Promethazine


Correct Option: D

Hyperglycemia is caused by

  1. beta blockers

  2. glucocorticoids

  3. NSAID

  4. none of these


Correct Option: B

Triptans are used for the treatment of migraine and they act through

  1. 5HT-1A

  2. 5HT-1B

  3. 5HT-1F

  4. 5HT-3


Correct Option: B

All of the following can be used for thromboprophylaxis, except

  1. heparin

  2. aspirin

  3. warfarin

  4. antithrombin-III


Correct Option: D

Good clinical practices are required in all, except

  1. preclinical phase

  2. phase 1

  3. phase 2

  4. phase 4


Correct Option: A

In tandem [bleep] number of [bleep] fired

  1. 1

  2. 2

  3. 3

  4. 4


Correct Option: B

HACEK group includes all, except

  1. hemophilus aprophillus

  2. acinetobacter baumanni

  3. eikenella corrodens

  4. cardiobacterium hominis


Correct Option: B

All of the following are included in grievous hurt, except

  1. loss of testis

  2. loss of eye

  3. loss of kidney

  4. abrasion of the face


Correct Option: D

Telefona is

  1. beating on the feet (soles)

  2. pulling of hair

  3. beating on both the ears

  4. none of these


Correct Option: C

Which of the following is the medium used for Vibrio cholera?

  1. Thayer-martin

  2. TCBS medium

  3. Skirrow's medium

  4. Loeffer's


Correct Option: B

In active chronic hepatitis B, all are seen, except

  1. HbsAg

  2. IgM anti-HbcAg

  3. HbeAg

  4. Anti-HbsAg


Correct Option: B

By using which one of the following Lancefield grouping of streptococci is done?

  1. M protein

  2. Group C peptidoglycan cell wall

  3. Group C carbohydrate antigen

  4. None of these


Correct Option: C

Which of the following is last to be opened in death due to asphyxia?

  1. Head

  2. Neck

  3. Thorax

  4. Abdomen


Correct Option: B

Positive Schick's test indicates that the person is

  1. immune to diphtheria

  2. hypersensitive to diphtheria

  3. susceptible to diphtheria

  4. susceptible & hypersensitive to diphtheria


Correct Option: D

Which of the following is true about corynebacterium diphtheria?

  1. Deep invasion is not seen.

  2. Elek's test is done for toxigenicity.

  3. Metachromatic granules are seen.

  4. Toxigenicity is mediated by chromosomal change.


Correct Option: D

Prions consist of

  1. DNA and RNA

  2. DNA, RNA and proteins

  3. RNA and proteins

  4. only proteins


Correct Option: D
Explanation:

 A prion is an infectious agent, composed entirely of protein.

Which of the following will cause an increase in the prevalence of the disease?

  1. Immigration of healthy persons.

  2. Increased cure rate of the disease.

  3. Longer duration of the disease.

  4. None of these


Correct Option: C

A male patient came with symptoms of urethritis. The examination revealed only pus cells but no organisms. Lesions are caused by

  1. chlamydia trachomatis

  2. haemophilus ducreyi

  3. treponema pallidum

  4. none of these


Correct Option: A

Which of the following is not included in the National Immunisation Programme?

  1. Tetanus toxoid

  2. Hepatitis B

  3. BCG

  4. Measles


Correct Option: B

Maternal Mortality Rate is calculated by

  1. Maternal deaths/live birth

  2. Maternal deaths/1live birth

  3. Maternal deaths/100 live births

  4. Maternal deaths/100 population


Correct Option: B

Which vaccine should not be given to a child suffering from convulsions?

  1. Measles

  2. BCG

  3. DPT

  4. OPV


Correct Option: C

Comparison of the value obtained and a predetermined objective is done by

  1. evaluation

  2. monitoring

  3. input-output analysis

  4. network analysis


Correct Option: A

In an epidemic, the first case to come to the notice of the investigator is

  1. index case

  2. primary case

  3. secondary case

  4. tertiary case


Correct Option: A

In Kala-azar, which one of the following is vector?

  1. Flea

  2. Tsetse fly

  3. Sand fly

  4. Mite


Correct Option: C

By which one of the following scrub typhus is transmitted?

  1. Reduvid bug

  2. Trombiculid mite

  3. Enteric pathogens

  4. Cyclops


Correct Option: B

Mirena is

  1. used in abortion

  2. anti-progesterone

  3. progesterone IUCD

  4. hormonal implant


Correct Option: C

Which of the following is not true about dietary allowance?

  1. Adequate intake

  2. RDA

  3. Dietary intake according to food composition

  4. Food intake according to the upper limit of the RDA


Correct Option: D

SAFE strategy is recommended for

  1. trachoma

  2. glaucoma

  3. diabetic retinopathy

  4. cataract


Correct Option: A

Which of the following persons is present in a sub center?

  1. Multipurpose worker

  2. Laboratory technician

  3. Health educator

  4. Medical officer


Correct Option: A

Which of the following is not a measure of dispersion?

  1. Mode

  2. Range

  3. Variable

  4. Standard deviation


Correct Option: A

Which of the following is not true regarding flourosis?

  1. Flourosis is the most common cause of dental caries in children.

  2. Deposition of flurides in the skeletal system and muscles.

  3. Deflouridation is done by Nalgonda technique.

  4. Genu valgum


Correct Option: A

In emergency tracheostomy, the following structures are damaged, except

  1. isthmus of the thyroid

  2. inferior thyroid artery

  3. thyroidea ima artery

  4. inferior thyroid vein


Correct Option: A

Under the National Programme for control of blindness, who is supposed to conduct the vision screening of school students?

  1. School teachers

  2. Medical officers of health centers

  3. Ophthalmologists

  4. Health assistants


Correct Option: A

Which of the following is not seen in SIADH?

  1. Hyponatremia

  2. Hypouricemia

  3. Volume depletion causing hypotension

  4. None of these


Correct Option: C

A 30 year old man presented with 6 month history of nasal discharge, facial pain and fever. On antibiotic therapy, fever subsided. After 1 month again he had symptoms of mucopurulent discharge from the middle meatus and the mucosa of the meatus appeared congested and oedematous. Next best investigation would be

  1. MRI of the brain

  2. NCCT of the nose and para-nasal sinuses

  3. plain x-ray of the para-nasal sinuses

  4. inferior meatus puncture


Correct Option: B

Which of the following is the most common site of subependymal giant cell astrocytomas?

  1. Foramen of Monro

  2. Temporal horn of the lateral ventricle

  3. Trigone of the lateral ventricle

  4. Fourth ventricle


Correct Option: B

A patient is on a low calcium diet for 6 weeks. He is most likely to have

  1. raised parathyroid hormone levels

  2. raised calcitonin levels

  3. increased phosphate levels

  4. increase in levels of 24, 2% hydroxylase in liver


Correct Option: A

Which of the following is the dangerous area of the eye?

  1. Ciliary body

  2. Sclera

  3. Optic nerve

  4. Retina


Correct Option: A

After laparoscopic appendicectomy, a female patient slipped and hurt her nose on the bed. She developed swelling of the nose, injury to anterior nasal bone and had mild difficulty in breathing. What would you do next?

  1. Intravenous antibiotics for 7-10 days

  2. Observation in hospital

  3. Surgical drainage

  4. Discharge after 2 days and follow up of the patient after 8 weeks


Correct Option: C

A child is present with ear infection, with foul smelling discharge. On further exploration, a small perforation is found in the pars flacida of the tympanic membrane. Most appropriate next step in the management would be

  1. topical antibiotics and decongestants for 4 weeks

  2. IV antibiotics and follow up after a month

  3. tympanoplasty

  4. tympano-mastoid exploration


Correct Option: D

In collapsing glomerulopathy, which of the following is seen?

  1. Hypertrophy and degeneration of the visceral epithelium

  2. Proliferation of the parietal epithelium

  3. Tuft necrosis

  4. Mesangiolysis


Correct Option: A

Persistent foetal lobulation of adult kidney is

  1. due to congenital renal defect

  2. due to obstructive uropathy

  3. due to intrauterine infections and scar

  4. a normal variety


Correct Option: D

With CSF all are true, except

  1. persistent leakage causes headache

  2. neutrophils are normally not present

  3. pH is less than that of blood

  4. secreted by the arachnoid villi


Correct Option: D

Which one of the following is not a feature of DKA?

  1. Tachypnoea

  2. Bradycardia

  3. Abdominal pain

  4. Dehydration


Correct Option: B

Fractional excretion of Na++ < 1% is seen in

  1. pre-renal azotemia

  2. ATN

  3. intrinsic renal failure

  4. renal artery stenosis


Correct Option: A

Most common tumor in NF-1 is

  1. astrocytoma

  2. optic tract glioma

  3. glioblastoma multiforme

  4. none of these


Correct Option: B

Pancytopenia with cellular bone marrow is seen in all, except

  1. PNH

  2. megaloblastic anaemia

  3. myelodysplastic anaemia

  4. congenital dyserythropoietic anaemia


Correct Option: D

An 18-month old child comes to you with history of immunization taken only for a single dose of OPV and DPT. What will you do now?

  1. Re-start the immunization according to age.

  2. Give BCG, Measles and booster doses of OPV and DPT.

  3. Give Measles and booster doses of OPV and DPT.

  4. Give BCG and second doses of OPV and DPT.


Correct Option: B

A patient is present with Carcinoma of the larynx, involving the left false cords, left arytenoids and the left aryepiglottic folds with bilateral mobile true cords. Treatment of choice is

  1. vertical hemilaryngectomy

  2. horizontal hemilaryngectomy

  3. radiotherapy followed by chemotherapy

  4. total laryngectomy


Correct Option: B

Which of the following is the active method to detect undiagnosed cases in apparently healthy persons?

  1. Screening

  2. Surveillance

  3. Case finding

  4. Notification


Correct Option: A

Epidemic Dropsy is due to which one of the following?

  1. BOAA

  2. Sanguinarine

  3. Aflatoxin

  4. None of these


Correct Option: B

Primary Pulmonary Hypertension is caused by all, except

  1. hyperventilation

  2. morbid obesity

  3. fenfluramine

  4. high altitude


Correct Option: A

Cushing's disease includes all, except

  1. central obesity

  2. episodic hypertension

  3. easy bruisability

  4. glucose intolerance


Correct Option: B

Marker for acute Hepatitis B is

  1. HBV-DNA polymerase

  2. IgG anti-HBc

  3. core antigen (HbcAg)

  4. Anti-HbsAg


Correct Option: A

Hypertension with hypokalemia is seen in all, except

  1. renal artery stenosis

  2. end stage renal disease

  3. cushing's disease

  4. primary hyperaldosteronism


Correct Option: B

Which of the following is seen in agenesis of corpus callosum?

  1. Astereognosis

  2. Hemiparesis

  3. Hemisensoriloss

  4. No neurological deficit


Correct Option: A

VHL syndrome includes all, except

  1. endolymphatic sac tumours

  2. pheochromocytoma

  3. hemangioendotheliomas

  4. islet cell tumours


Correct Option: A

Reye's syndrome is ultrastructurally characterized by

  1. mitochondrial blebs and enlarged mitochondria

  2. depletion of glycogen

  3. dilatation of the endoplasmic reticulum

  4. perinuclear staining


Correct Option: A

Which of the following is the most common site of spinal cord tumor?

  1. Intradural extramedullary

  2. Extradural

  3. Intramedullary

  4. All have equal distribution


Correct Option: B

Extensive involvement of deep white matter, with hyperintense thalamic lesion on MRI of the brain is seen in which one of the following?

  1. Alexander's disease

  2. Krabbe's ds.

  3. Canavan's ds

  4. Metachromatic leucodystrophy


Correct Option: A

ECG was shown. 70 year old man with no previous significant medical history presenting with sudden onset syncope. Most likely diagnosis is:

  1. Vasovagal shock

  2. Pulmonary embolism

  3. Complete heart block

  4. Temporal lobe epilepsy


Correct Option: C

All are essential components of TOF except:

  1. Valvular pulmonic stenosis

  2. Right ventricular hypertrophy

  3. Infundibular stenosis

  4. Aorta overriding


Correct Option: A

Inflammation of a retrocaecal appendix will produce pain, when there is which of the following movements at the hip?

  1. Flexion

  2. Extension

  3. Medial rotation

  4. Lateral rotation


Correct Option: B

Shoulder pain after laparoscopy is due to

  1. subphrenic abscess

  2. CO2 narcosis

  3. positioning of the patient

  4. compression of the lung


Correct Option: A

Which of the following is not true about Ogilive's syndrome?

  1. It is caused by mechanical obstruction of the colon.

  2. It involves entire/part of the large colon.

  3. It occurs after previous surgery.

  4. It occurs commonly after narcotic use.


Correct Option: A

A 3-year old girl is posted for tonsillectomy. On examination it is found that she has a midline cystic swelling extending till below the hyoid bone. It is painless and moves with deglutition. The thyroid examination is normal. What should be done next?

  1. Percutaneous aspiration

  2. I.V. antibiotics

  3. Surgical removal

  4. Observation


Correct Option: C

For a lower end esophagus adenocarcinoma, a transhiatal esophagectomy is planned. The approach would be in which of the following order?

  1. Abdomen - Neck

  2. Chest - Abdomen - Neck

  3. Abdomen - Chest - Neck

  4. Right chest - Neck


Correct Option: D

In a patient with post partum hemorrhage with rheumatic heart disease, which of the following is contraindicated?

  1. Misoprostol

  2. Methyl ergometrine

  3. Oxytocin

  4. Carboprost


Correct Option: B

A 23 year old male who has normal complains of mild pain in his right iliac fossa in a waveform pattern, which increases during the night and he becomes exhausted, is admitted in the hospital. On examination there is mild hematuria. Urine examination reveals plenty of RBCs, 50WBCs/hpf and Urine pH 5.5. Which of the following is the most likely diagnosis?

  1. Glomerulonephritis

  2. Ca-Urinary bladder

  3. Ureteral calculus

  4. None of these


Correct Option: C

The BEST agent used for fixation of Pap smear is

  1. ethyl alcohol

  2. acetone

  3. formalin

  4. xylol


Correct Option: A

Post-operative radiotherapy in a patient, operated for Ca-endometrium is indicated in all of the following, except

  1. deep myometrial invasion

  2. pelvic lymph node involvement

  3. enlarged uterine cavity

  4. poor tumour differentiation


Correct Option: C

Clomiphene citrate is associated with all, except

  1. polycystic ovarian disease

  2. multiple pregnancies

  3. ovarian cancer

  4. teratogenecity


Correct Option: D

In which of the following heart diseases, maternal mortality during pregnancy is found to be the highest?

  1. Coarcatation of aorta

  2. Eisenmenger's complex

  3. Aortic stenosis

  4. Mitral stenosis


Correct Option: B

An 18 year old primigravida, complained of decreased fetal movements. She delivered a baby weighing 2000gms at 30 weeks of gestation. The APGAR scores of the baby were 4 and 5 at 1 and 5 minutes, respectively. The baby died in an hour. Post-mortem examination revealed multiple, peripheral, radially arranged cysts in the kidney. Most common associated finding in the baby would be

  1. holoprosencephaly

  2. hepatic cysts and hepatic fibrosis

  3. ureteral agenesis

  4. medullary sponge kidney


Correct Option: B

Which of the following is associated with maximum risk of invasive carcinoma of cervix?

  1. Low grade squamous intraepithelial lesion

  2. High grade squamous intraepithelial lesion

  3. Squamous intraepithelial lesion associated with HPV-16

  4. Squamous intraepithelial lesion associated with HIV


Correct Option: C

According to the new WHO criteria, all are true in a normal person, except

  1. sperm count > 20 million

  2. volume > 1 ml

  3. normal morphology in > 15 % (strict criteria)

  4. aggressive forward motility in > 25 %


Correct Option: D

A gravida3, with a history of 2 previous 2nd trimester abortions presents at 22 weeks of gestation with funneling of the cervix. Most appropriate management would be

  1. administer dinoprostone and bed rest

  2. administer mifipristone and bed rest

  3. apply Fothergill's stitch

  4. apply McDonald's stitch


Correct Option: D

Internal Podalic Version, done in cases of transverse lie, is associated with which of the following complications?

  1. Uterine rupture

  2. Vaginal laceration

  3. Uterine atony

  4. Cervical laceration


Correct Option: A

Increase in maternal serum AFP levels is seen in which one of the following?

  1. Down's syndrome

  2. Molar pregnancy

  3. Over estimated gestational age

  4. Congenital Nephrotic Syndrome


Correct Option: D

An 18 year old girl presents with amenorrhoea, weight loss and

  1. Anorexia nervosa

  2. Occult carcinoma

  3. Hypothyroidism

  4. HIV


Correct Option: A

Goniometry is the measurement of

  1. number of gonococci

  2. length of the genital hiatus

  3. urethrovesical angle

  4. genital secretion


Correct Option: C

Asherman's syndrome is diagnosed by all, except

  1. HSG

  2. hysteroscopy

  3. endometrial culture

  4. saline infusion USG


Correct Option: C

Most common type of seizures in neonates are

  1. clonic

  2. tonic

  3. subtle

  4. myoclonic


Correct Option: C

Which of the following is false in Down's syndrome?

  1. Increased PAPP-A

  2. Increased â-HCG

  3. Absent nasal bone

  4. Increased ductus venous blood flow


Correct Option: A

In a survey, many children were examined and found to have urogenital abnormalities. The ones who have urothelial cancers are most likely to be associated with which anomaly?

  1. Medullary sponge kidney

  2. Bladder extrophy

  3. Unilateral renal agenesis

  4. Double ureter


Correct Option: B

A child presents with history of respitory infections. His sweat chlorides levels are 36 and 41 meq l on two different occasions. Which other test would you do, to exclude the diagnosis of cystic fibrosis?

  1. Repeat sweat chloride measurements

  2. Nasal electrode potential difference

  3. Fat in stool for next 72 hours

  4. DNA analysis for ؤ508 mutation


Correct Option: B

A newborn female child, weight 3.5kg, delivered by uncomplicated delivery has developed respiratory distress immediately after birth. On chest x-ray, ground glass appearance was seen. Baby was put on mechanical ventilation and was given surfactant. But the condition of baby deteriorated and increasing hypoxemia was present. A full term female 'sibling' died within a week, with the same complaints. ECHO was normal. Usual cultures were negative. What is your diagnosis?

  1. Total anomalous pulmonary vein connection

  2. Meconium aspiration syndrome

  3. Neonatal pulmonary alveolar proteinosis

  4. Disseminated HSV infection


Correct Option: C

A seven and a half years old child presents with non productive cough and mild stridor for 6 months. On oral antibiotics, patient is improving but suddenly develops wheezing, productive cough and mild fever. X-ray shows hyperlucency and PFT shows obstructive curve. Most probable diagnosis is

  1. post viral syndrome

  2. bronchiolitis obliterans

  3. follicular bronchitis

  4. pulmonary alveolar microlithiasis


Correct Option: B

A term infant has not passed meconium for 48 hours. He presents with distension of abdomen and emesis, since one day. Next most appropriate investigation would be

  1. genetic testing for cystic fibrosis

  2. manometry

  3. lower bowel contrast enema

  4. oesophagoscopy


Correct Option: B

A seven and a half years old child presents with nonblanching rash over the extensor aspect of arm with swelling over knee. Urine analysis shows proteinurea + and hematuris +++. On kidney biopsy, which finding will be most commonly seen?

  1. Fusion of podocytes

  2. Acute tubular necrosis

  3. Deposition of IgA

  4. Thickened basement membrane


Correct Option: C

A child presented with respiratory distress, was brought to emergency with bag and mask ventilation. Now he is intubated. Chest x-ray shows right sided deviation of mediastinum with scaphoid abdomen. His pulse Impulse has shifted to the right. What is the next step?

  1. Remove the Endotracheal tube

  2. Put a nasogastric tube

  3. Surgery

  4. Tube thoracostomy


Correct Option: B

22 year female taken medicine for typhoid fever 3 months back. She developed generalized loss of hair,

  1. Telogen effluvium

  2. Anagen effluvium

  3. Alopecia areata

  4. None of these


Correct Option: A

Which of the following is not true regarding Vitligo?

  1. It occurs in genetically predisposed individual.

  2. UV B therapy given.

  3. Local steroid

  4. Leukotrichia is a good prognosis.


Correct Option: D

Cicatrical alopecia A/E

  1. Alopecia areata

  2. Pseudpalady

  3. Lichen planus

  4. DLE


Correct Option: A

Egg-on-side appearance on X-ray chest is seen in

  1. tetralogy of fallot

  2. uncorrected TGA

  3. tricuspid atresia

  4. ebstein's anomaly


Correct Option: B

Floating water- lilly sign on X ray chest

  1. hydatis dis of liver

  2. asperigilosis

  3. tubercular cavity

  4. None of these


Correct Option: A

Hampton's hump is seen in

  1. pulmonary embolism

  2. tuberculosis

  3. broncogenic CA

  4. none of these


Correct Option: A

All regarding Mivacurium are true, except

  1. larger doses speed the onset of action

  2. bronchospasm

  3. flushing

  4. hypertension


Correct Option: D

Increased cerebral O2 consumption is caused by which one of the following?

  1. Propofol

  2. Ketamine

  3. Atracurium

  4. Fentanyl


Correct Option: B

Which of the following is not true about thiopentone?

  1. NaCO3 is a preservative

  2. Contraindicated in Porphyrias

  3. Agent of choice in shock

  4. Cerebroprotective


Correct Option: C

Which of the following is false regarding type A personality?

  1. Hostility

  2. Time pressure

  3. Competitiveness

  4. Mood fluctuations


Correct Option: D

All are characteristics of schizophrenia, except which one of the following?

  1. Third person auditory hallucinations

  2. Inappropriate emotions

  3. Long stretches of mood changes

  4. Formal thought disorder


Correct Option: D

Altered perception of real objects is

  1. illusion

  2. delusion

  3. hallucination

  4. delirium


Correct Option: A

Which of the following is the best investigation in thromboembolism?

  1. D-dimer levels

  2. Multidetector CT angiography

  3. Colour Doppler USG

  4. Catheter angiography


Correct Option: B

Canaval sign____

  1. Tenosynovitis

  2. Dupuyteren's contracture

  3. Carpal tunnel syndrome

  4. Trigger finger


Correct Option: A

In osteomalacia, all are true except

  1. increased serum alkaline phosphatase

  2. increased serum calcium

  3. looser's zones

  4. proximal myopathy


Correct Option: B

By which one of the following, staging of bone tumours is done?

  1. Enneking

  2. Manchester

  3. Edmonton

  4. TNM


Correct Option: A

Which one of the following is the indication of surgery in pectus excavatum?

  1. Fev1/Fvc <0.6

  2. TLC <80%

  3. Decreased residual olume

  4. Exercise intolerance


Correct Option: C

A 40 year old man is heavy smoker and have complaints of epigastric pain, since an hour. On electrocardiographic examination he is found to have ST elevations in inferior leads. What is the immediate therapy?

  1. Aspirin

  2. Thrombolytics

  3. Pantoprazole

  4. Beta-blockers


Correct Option: B
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